Journal of pediatric nursing · 2026
The effect of tub bathing on stress, comfort, and physiological parameters in newborns.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Kasımoğlu Necla, Beşiktaş Sultan, Gürol Ayşe
Аннотация
PURPOSE: This study aimed to investigate the effects of tub bathing on stress levels, comfort, and physiological parameters in newborns undergoing phototherapy.
METHODS: A randomized controlled trial was conducted with 62 newborns receiving phototherapy in a university hospital neonatal intensive care unit (June 2024-June 2025). Infants were randomized to an experimental (tub bathing) or a control group. Physiological parameters, stress (Neonatal Stress Scale), and comfort (Neonatal Comfort Behavior Scale) were assessed at three time points: before, 15 min after initiation, and 15 min before completion of phototherapy. Data were analyzed using SPSS version 30.0.
RESULTS: There were significant differences between the groups in terms of sex (p = .005, φ = 0.35) and gestational week (p = .045, φ = 0.36). Respiratory rate, heart rate, and oxygen saturation values in the experimental group were statistically higher compared with the control group (p < .001, Cohen's d = 1.37-1.85). Mean scores of the Neonatal Stress Scale and Neonatal Comfort Behavior Scale revealed a significant decrease in stress and a significant increase in comfort in the experimental group (p < .001, Cohen's d > 1.40). The post-hoc power analysis indicated a test power of 1.00.
CONCLUSION: Tub bathing reduces stress levels, enhances comfort, and positively affects physiological parameters in newborns undergoing phototherapy. Therefore, it is recommended that nurses incorporate tub bathing as a safe and feasible nursing practice in neonatal care.
IMPLICATIONS TO PRACTICE: Tub bathing is recommended as a standardized intervention to enhance physiological comfort in infants undergoing phototherapy. Additionally, involving parents in this process strengthens family-centered care and emotional bonding in the neonatal setting.
METHODS: A randomized controlled trial was conducted with 62 newborns receiving phototherapy in a university hospital neonatal intensive care unit (June 2024-June 2025). Infants were randomized to an experimental (tub bathing) or a control group. Physiological parameters, stress (Neonatal Stress Scale), and comfort (Neonatal Comfort Behavior Scale) were assessed at three time points: before, 15 min after initiation, and 15 min before completion of phototherapy. Data were analyzed using SPSS version 30.0.
RESULTS: There were significant differences between the groups in terms of sex (p = .005, φ = 0.35) and gestational week (p = .045, φ = 0.36). Respiratory rate, heart rate, and oxygen saturation values in the experimental group were statistically higher compared with the control group (p < .001, Cohen's d = 1.37-1.85). Mean scores of the Neonatal Stress Scale and Neonatal Comfort Behavior Scale revealed a significant decrease in stress and a significant increase in comfort in the experimental group (p < .001, Cohen's d > 1.40). The post-hoc power analysis indicated a test power of 1.00.
CONCLUSION: Tub bathing reduces stress levels, enhances comfort, and positively affects physiological parameters in newborns undergoing phototherapy. Therefore, it is recommended that nurses incorporate tub bathing as a safe and feasible nursing practice in neonatal care.
IMPLICATIONS TO PRACTICE: Tub bathing is recommended as a standardized intervention to enhance physiological comfort in infants undergoing phototherapy. Additionally, involving parents in this process strengthens family-centered care and emotional bonding in the neonatal setting.